| NPI | 1275871220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: HI 1378) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4166) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2020-08-27 |